Physician
Children's Health of Carolina, PA
Children's Health of Carolina, PA was paid $103K by Medicaid between Jul 2024 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoCHILDREN'S HEALTH OF CAROLINA, PA
FAIRMONT, NC 28340
FAIRMONT, NC 28340
33aNPI1679324412assigned 03/29/2024
33bProvider typePediatrics Physician
28Total paid$103K
24GClaims3,005
24DCodes billed25
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#306 of 433
Median peer was paid$942K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 3,005 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 853 | 785 | $49K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 12% | 246 | 241 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 105 | 99 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 76 | 69 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.7% | 67 | 65 | $6K |
| 87400 | 4.9% | 245 | 239 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.2% | 133 | 127 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 47 | 46 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.3% | 198 | 187 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 176 | 173 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 114 | 110 | $893.15 |
| 87807 | <1% | 47 | 44 | $621.72 |
13 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSEALY, LAURA (BUSINESS MANAGER)
Parent organizationCHILDREN'S HEALTH OF CAROLINA, PA
| Provider | Location | Paid |
|---|---|---|
| Children's Health of Carolina, PA | Lumberton, NC | $89.47M |
| Children's Health of Carolina, PA | Pembroke, NC | $18.18M |
| Children's Health of Carolina, PA | Fayetteville, NC | $7.66M |
| Children's Health of Carolina, PA | Raeford, NC | $4.98M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.